Organization
CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP
Active
Parent organization
OSF HEALTHCARE SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
KEVIN D SCHOEPLEIN (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
420 NE GLEN OAK AVE, STE 301, PEORIA, IL 61603-3105
(309) 655-3453
Mailing address
800 NE GLEN OAK AVE, STE 301, PEORIA, IL 61603-3255
(309) 655-2850
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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